Provider Demographics
NPI:1154675619
Name:PARSONS, TIERRA MICHELLE (MSW, LCSWA)
Entity Type:Individual
Prefix:
First Name:TIERRA
Middle Name:MICHELLE
Last Name:PARSONS
Suffix:
Gender:F
Credentials:MSW, LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6325 HACKBERRY CREEK TRL APT 1137
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-0493
Mailing Address - Country:US
Mailing Address - Phone:336-655-5268
Mailing Address - Fax:
Practice Address - Street 1:6325 HACKBERRY CREEK TRL APT 1137
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-0493
Practice Address - Country:US
Practice Address - Phone:336-655-5268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-06
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0057291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical